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Organization

GERALD J AKPASSA MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GERALD AKPASSA MD PA (OWNER/PROVIDER)
(903) 693-8504
Entity
Organization

Contact information

Practice address
4054 NW LOOP, CARTHAGE, TX 75633-3346
(903) 693-8504
(480) 705-7301
Mailing address
1029 RIVERWOOD DR, LONGVIEW, TX 75604-6228
(903) 693-8504
(480) 705-7301

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M1419
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1447296975
NPI
TX
Enumeration date
07/21/2010
Last updated
07/21/2010
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